Membership Application Form
Post Applied For
Board Member (non-Judicial/Legal) & Chair of SCS Audit Committee
The Selection Panel will not have access to the personal information on application
forms and CVs when deciding on whom to invite for interview. Please use separate
sheets for each section of your application and on your CV please only include
personal details on the front or cover page.
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SECTION 1
Personal Details
Title
Forenames
Surname
Place of birth
Home address
and post code
Telephone
Mobile
Email address
Address and
post code for
correspondence
(if different from
above)
CV Please attach your CV to this application form.
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SECTION 2
Evidence In Support of Application
In the following sections please give examples of your skills, abilities and personal
qualities that are relevant to the appointment. The examples you choose can come
from your working life, private life or voluntary activities. Please limit your response
to no more than 300 words per section. The person specification provides more
information about the particular requirements sought. The information you provide
will be used to decide whether to invite you for interview.
Leadership
Influence/ Representation/Communications
Strategic Planning
Governance
Sector knowledge
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Financial and business management
Personal qualities
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SECTION 3
References
Please give the names and full contact addresses of two referees who, through
actual experience of your work or other achievements, are able to comment on your
ability to meet the requirements of the appointment.
1. Name
Address
Telephone:
E-mail:
2. Name
Address
Telephone
E-mail
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SECTION 4
Disability
1. The Disability Discrimination Act 1995 defines a disability as a physical or
mental impairment which has a substantial and long term (i.e. lasted or likely to
last for 12 months or more) adverse effect on a person’s ability to carry out normal
day-to-day activities. Further guidance in relation to the meaning of disability is
accessible on the Equality and Human Rights Commission website:
http://www.equalityhumanrights.com.
Do you consider yourself to have a disability as defined by the Disability
Discrimination Act 1995?
Yes
No
2. The Scottish Court Service participates in the ‘Positive about Disabled People”
Scheme. Under this scheme, all candidates who consider themselves to be disabled
in terms of the Disability Discrimination Act 1995, and who meet the essential
minimum criteria detailed on the person specification for the post, will be
guaranteed an interview.
Do you wish to claim a guaranteed interview under the “Positive about Disabled
People” Scheme?
Yes
No
3. If you have a disability and require special provisions for attending the interview
please provide details.
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SECTION 5
Personal Conduct
All successful applicants will be security checked through a Standard Disclosure by
Disclosure Scotland. The references to "offence" should be taken to include
motoring, but not parking, offences. Anyone who willingly withholds information will
risk losing any appointment.
Please answer “Yes” if any of the following apply in any court or other jurisdiction
either in the UK or abroad. If yes, please give details. Answering ‘Yes’ to any of the
questions below will not necessarily bar you from appointment.
1. Have you ever been charged with, or convicted of, any criminal offence, however
minor? (Please also include offences under the Road Traffic Acts). By virtue of the
Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order
2003 you must disclose All convictions including spent convictions. You should also
list all administrative penalties imposed on you, such as fixed penalty notices or
fiscal fines.
Yes
No
If yes, please give details.
2. Are you aware of any current police investigations into your conduct?
Yes
No
If yes, please give details.
3. Are you involved now, or have you ever been involved, in any litigation – whether
as a pursuer, defender or third party, including bankruptcy proceedings?
Yes
No
If yes, please give details.
4. Have you at any time been found guilty of professional misconduct by any
professional body or its associated disciplinary tribunal?
Yes
No
If yes, please give details.
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5. Are you currently subject to any pending criminal prosecution or disciplinary
processes as described at question 4 above?
Yes
No
If yes, please give details.
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SECTION 6
Eligibility to be a member of the Scottish Court Service
The Scottish Court Service as established by section 60(1) of the Judiciary & Courts
(Scotland) Act 2008 is part of the Scottish Administration. As members of the SCS
are office holders under the Crown, applicants are required to meet certain
nationality criteria to be eligible for office. In summary only nationals from the
following countries are generally eligible - The United Kingdom (and British protected
persons) - The Republic of Ireland - The Commonwealth - The European Economic
Area (EEA) - Switzerland.
If in doubt, applicants should consider the more detailed guidance on nationality
requirements which can be found on the civil service website to ensure that they
meet the nationality requirements.
Please answer the following questions to indicate eligibility to be an office holder for
the Scottish Court Service. If you are invited to interview, you will be required to
provide documentation confirming your eligibility.
Are you lawfully resident in the United Kingdom?
Yes
No
What is your present nationality?
What was your nationality at birth?
Have you ever possessed any other nationality or citizenship?
Yes
No
If yes, please give details.
Are you subject to immigration control?
Yes
No
If yes, please give details.
Are there any restrictions on your continued residence in the United Kingdom?
Yes
No
If yes, please give details.
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SECTION 7
APPLICANT DECLARATION
I declare that the information I have given in support of my application is, to the best
of my knowledge and belief, true and complete. I understand that if it is
subsequently discovered that any statement is false or misleading, or that I have
withheld relevant information, my application may be rejected and/or that I may be
removed from office if I have given false information or withheld relevant details. I
understand the information given on this form will be stored for the purposes of
Human Resources and statistical analysis by the SCS on behalf of the Lord
President and that the Scottish Court Service is registered under the Data Protection
Act 1998.
I have read the eligibility criteria and confirm that I am eligible to apply for the post.
Signature:
Date:
Note: It is your responsibility to ensure that you understand the eligibility criteria. If
you are unsure on any aspect please contact Noel Rehfisch, Corporate Secretary
([email protected]).
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